Clinico-radiological Results of Distal Chevron Osteotomy without Lateral Soft Tissue Release in Mild to Moderate Hallux Valgus Deformity.

Background: The study was done to evaluate short term clinico-radiological results of distal chevron oste-otomy without lateral soft tissue release in mild to moderate hallux valgus.

Materials And Methods: This was a prospective study consisting of a total of 35 cases with mild to moderate hallux valgus deformity. All these patients were treated by distal chevron osteotomy without lateral soft tissue release.

Results of a Standard versus an Accelerated Ponseti Protocol for Clubfoot: A Prospective Randomized Study.

Background: The aim of this study was to compare the results of the standard once-weekly Ponseti casting technique to an accelerated twice-weekly regimen in our population cohort.

Methods: A prospective randomized controlled study was conducted with a total of 100 consecutive patients (158 feet) being enrolled for the study. Fifty patients were randomized to each group and followed up for at least one year.

Deformity Correction about Knee with Ilizarov Technique: Accuracy of Correction and Effectiveness of Gradual Distraction after Conventional Straight Cut Osteotomy.

Background: The aim of the study was to retrospectively analyse the long term clinical outcome, accuracy of correction, and the complication rate in patients treated for deformities around the knee with gradual distraction with or without additional limb lengthening using Ilizarov technique.

Material And Methods: The study presents a retrospective analysis of 26 patients treated for deformities about the knee by gradual distraction with Ilizarov technique with an average follow-up of 6.1 yrs (2-13 yrs).

Open reduction and internal fixation of patellar fractures with tension band wiring through cannulated screws.

The purpose of this study was to evaluate effectiveness and safety of a relatively new technique of open reduction and internal fixation of displaced transverse patellar fractures with tension band wiring (TBW) through parallel cannulated compression screws. A total of 30 patients with displaced transverse patellar fracture were enrolled in this prospective study. Of the 30 patients, 20 patients had trauma due to fall, 5 due to road traffic accident, 2 due to fall of heavy object on the knee, 2 due to forced flexion of knee, and 1 had fracture due to being beaten.

External fixation of pediatric femoral shaft fractures: a consecutive study based on 45 fractures.

Forty-five displaced femur fractures in children were treated with unilateral external fixation as a standard treatment from March 2007 to March 2009 and the last follow-up was completed in May 2012. The average age of the children at presentation was 9.93 years.

Transmalleolar approach to a tubercular lytic lesion of the talar body: a case report.

Tuberculosis of the talus is a rare condition, and the diagnosis can be difficult to make because of inconclusive laboratory and ancillary testing. In such cases, accurate diagnosis and appropriate treatment may require the use of a transmalleolar osteotomy to gain access to the involved portion of the talar body. In the case described in this article, a transmalleolar approach was used to gain access to a lytic lesion of the talar body so as to obtain microbiological and histopathological specimens for diagnostic purposes, and to thoroughly debride the lesion.

Giant osteochondroma of proximal fibula in a skeletally mature patient.

Osteochondroma are believed to be most common benign tumors. The growth of osteochondroma usually ceases when skeletal maturity is reached but becomes a matter of concern to the attending doctor if the lesion becomes painful and shows evidence of increased growth even after physeal closure, which may be an indication of sarcomatous change in the lesion. We present a case with substantial growth of an osteochondroma after attainment of skeletal maturity.

Outcome of olecranon osteotomy in the trans-olecranon approach of intra-articular fractures of the distal humerus.

Background: The trans-olecranon approach has been suggested to improve the visualization of complex intra-articular distal humerus fractures. Significant osteotomy complications have prompted a search for alternative approaches. The purpose of this series was to study the outcome of the olecranon osteotomy in terms of union and complications and the ultimate outcome of the fracture.

Ewing's sarcoma of the ilium mimicking inflammatory arthritis of the hip: a case report.

Introduction: Ewing's sarcoma is second most common primary malignant bone neoplasm in children and adolescents. We report a case of Ewing's sarcoma of ilium in an 18-year-old female mimicking clinically and radiologically inflammatory arthritis of hip joint, a rare entity not mentioned in literature.

Case Presentation: An 18-year-old girl presented with pain hip, limp and fever off and on.

Bridge plate osteosynthesis using dynamic condylar screw (DCS) or retrograde intramedullary supracondylar nail (RIMSN) in the treatment of distal femoral fractures: comparison of two methods in a prospective randomized study.

Background: The treatment of distal femoral fractures remains a significant surgical challenge. With the rigid fixation of the distal femoral fractures, bone grafting is frequently needed. Biological osteosynthesis using dynamic condylar screw (DCS) and retrograde intramedullary supracondylar nail (RIMSN) preserve the blood supply and limit the need for bone grafting.

Injuries from bear (Ursus thibetanus) attacks in Kashmir.

Background: Strict conservation of wildlife and encroachment into its habitat have led to an increase in the number of wild animal-inflicted injuries and fatalities in Kashmir. The aim of this study was to report injuries inflicted during bear attacks and discuss their management and sequelae.

Methods: A retrospective study was conducted in the Department of Orthopedics Government Medical College Srinagar, University of Kashmir, from January 2003 to June 2007.

Differentiating mass disasters. The barzullah classification.

Background: To assess the pattern of mass casualty incidents managed at our hospital over the last eight years, and evolve a differentiating classification based on this pattern. A combination of retrospective and prospective assessment was made.

Material And Methods: All patients receiving injuries in mass casualty incidents and managed at our hospital.

Significance of radiological quality of surgical reduction on the clinical outcome of intra-articular fractures of the distal humerus.

Objective: To study the effect of radiological quality of surgical reduction on the clinical outcome of the intra-articular fractures of the distal humerus.

Material And Method: Ninety seven intra-articular fractures of distal humerus were treated at our department by open reduction and internal fixation, using a trans-olecranon approach. Patients were assessed as per the scoring system of Caja and Moorani et al.

Increasing incidence of injuries and fatalities inflicted by wild animals in Kashmir.

Objective: To clarify the causes of the increased incidence of injuries inflicted by wild animals in Kashmir, and to suggest preventive measures.

Methods: A retrospective study reviewed records of these injuries. Data were collected from the hospital in Srinagar and from the Wildlife Protection Department of Kashmir.

Deformity correction and massive lengthening on a centralized fibula with the Ilizarov technique.

Lengthening beyond 25% of the original segment length is an orthopaedic challenge. Substantial lengthening is fraught with complications such as joint contractures, refractures, nerve injuries and prolonged periods of consolidation. We report a case of massive lengthening in a 17-year-old boy in whom a 20 cm lengthening (57% lengthening) and complex deformity correction was performed on a centralized fibula using the Ilizarov technique, with an excellent result.

Operative management of a subtrochanteric fracture in severe osteoporosis. a case report.

Background: Fractures of the subtrochanteric region of the femur provide several challenges to the operating surgeon due to anatomic and biomechanical peculiarities inherent to this region. These challenges are compounded several times in a severely porotic bone.

Case Presentation: We report a case with severe osteoporosis who sustained a subtrochanteric fracture and was managed with a Dynamic condylar screw DCS.

Humeral biepicondylar fracture dislocation in a child: A case report and review of the literature.

Introduction: Humeral biepicondylar fracture dislocation is a very rare injury reported only once in English literature by G R Taylor et al. We report a case of humeral biepicondylar fracture dislocation in a 13-year-old girl with a unique mechanism of injury.

Case Presentation: A 13-year-old girl presented with trauma elbow.

Management of lower limb fractures in polytrauma patients with delayed referral in a mass disaster. The role of the Ilizarov method in conversion osteosynthesis.

Polytrauma cases in mass disasters present several challenges to the orthopaedic surgeon. Delayed referral, multisystem involvement and the requirement to manage coexisting injuries by interhospital transfer often make infection an inevitable risk. 28 patients with polytrauma were studied after being referred after being recovered from the debris of their homes in the Kashmir earthquake.

The dynamic condylar screw in the management of subtrochanteric fractures: does judicious use of biological fixation enhance overall results?

Subtrochanteric fractures are fraught with certain anatomic, biologic and biomechanical challenges. Evolution of implants like the Gamma nail, fixed-angle nail plates, compression hip screws and dynamic hip screws with trochanteric stabilization plates underlines a persistent quest for a better implant. We studied the dynamic condylar screw DCS as an implant on a series of 30 consecutive patients with subtrochanteric fractures.

'Damage control orthopaedics' in patients with delayed referral to a tertiary care center: experience from a place where Composite Trauma Centers do not exist.

Background: Management of orthopaedic injuries in polytrauma cases continues to challenge the orthopaedic traumatologist. Mass disasters compound this challenge further due to delayed referral. Recently there has been increasing evidence showing that damage control surgery has advantages that are absent in the early total care modality.

Neurological outcome following delayed fixation of unstable thoracolumbar spinal injuries with short segment posterior fixation.

Objective: To evaluate the improvement in neurological deficit following late decompression and stabilization of the fractured thoracolumbar spine.

Methods: Between January 2001 and August 2004 neurological recovery in 120 thoracolumbar fractures was studied after posterior stabilization at the Hospital for Bone & Joint Surgery, Srinagar, India. There were 88 male and 32 female patients.

In situ instrumented posterolateral fusion without decompression in symptomatic low-grade isthmic spondylolisthesis in adults.

Forty patients with an average age of 26.5 years were treated for symptomatic low-grade isthmic spondylolisthesis with in situ instrumented posterolateral fusion. All patients had failed previous conservative treatment.

The Kashmir Earthquake Experience.

On October 8, 2005, a major earthquake measuring 7.6 on the Richter scale struck the Himalayan region of Kashmir. Around 90,000 people died in the mass disaster.